Provider Demographics
NPI:1902563661
Name:CARLILE SPEECH THERAPY PLLC
Entity Type:Organization
Organization Name:CARLILE SPEECH THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:MEGHANN
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:CARLILE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:312-549-9190
Mailing Address - Street 1:3431 N OAKLEY AVE UNIT BSMT
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618-6009
Mailing Address - Country:US
Mailing Address - Phone:312-549-9190
Mailing Address - Fax:
Practice Address - Street 1:3431 N OAKLEY AVE UNIT BSMT
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60618-6009
Practice Address - Country:US
Practice Address - Phone:312-549-9190
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-17
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty